Individual
SHRADHA POKHAREL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
2021 KINGSLEY AVE, SUITE 101, ORANGE PARK, FL 32073-5174
(904) 298-2113
(904) 298-1922
Mailing address
2021 KINGSLEY AVE, SUITE 101, ORANGE PARK, FL 32073-5174
(904) 298-2113
(904) 298-1922
Taxonomy
Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
Primary
ME107854
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
002671500
—
FL
05
—
003140199A
—
GA
01
—
149FM
BCBS
FL
Enumeration date
07/02/2007
Last updated
10/08/2015
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